| NPI | 1598832693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BERNDTSON President 847-998-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 174400000X Specialist |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |